LICHFIELD ROAD,
BLOXWICH,
WALSALL
WS3 3LY / / For Office Use Only:
Date received:
Birth Certificate:
Baptismal Certificate:
Staff Member:
APPLICATION FORM FOR ADMISSION TO NURSERY
DURING ACADEMIC YEAR BEGINNING SEPTEMBER …………….(Year)
Child’s surname: ......
Child’s First names: ...... …..boy/girl
Date of birth: ......
Address: ......
......
Postcode: ......
Telephone No......
Important – Ensure that you enclose a copy of your child’s Birth Certificate. Your application will not be considered without it
Religious Status
What is your child’s religion? ......
Has he/she received the Sacrament of Baptism? YES/NO
Date of Baptism: ...... /...... /...... Place of Baptism: ......
Name of Parish in which you are resident: ......
Important – If your child is Baptised Catholic, ensure that you enclose a copy of their Baptismal Certificate. Your application will be considered as a non-catholic application unless the certificate is enclosed.
Details of Siblings
Does your child have a brother/sister already attending this school/nursery? YES/NO
If the answer is “YES”, please give the following information:
Surname: ...... First name: ...... Year of entry: ......
Surname: ...... First name: ...... Year of entry: ......
Application Correspondence and Parental Details
(name and address of parent/guardian to whom correspondence should be sent)
Title (Mr/Mrs/Miss, or other) ......
Surname: ...... First name: ......
Address: ......
......
Postcode: ...... Telephone No......
(If separated, please give name and address of any other adult who has parental responsibility for your child)
Title (Mr./Mrs./Miss, or other) ......
Surname: ...... First name: ......
Address: ......
Postcode: ...... Telephone No......
* Please note that this “Application Form for Admission to St. Peter’s Nursery” does not automatically constitute acceptance or the granting of a place at the Nursery.
* Applications for a place in Nursery will be considered on an annual basis.
* A child will be admitted at the beginning of the term following their 3rd birthday, subject to availability of places.
* Applications for academic year 2018/2019 must be received by 3.30 p.m. on Thursday 16th February 2018.
Parents will be notified as soon as possible.
* Applications and allocation of places will be considered by the School Governors in strict accordance with the Nursery Criteria of Admission.
* The School Governors reserve the right to make changes affecting admission arrangements at any time if the necessity arises.
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Please read and sign the statement below before returning this application form.
I understand that if my child is admitted to St. Peter’s Nursery, this does not guarantee a
place in the Reception Class at St. Peter’s School.
Signature of Parent/Guardian ......
Date: ......